Policies and guidelines
See our medical and pharmacy policies — plus clinical practice guidelines and details about preapproval for services.
Are you a behavioral health provider?
We encourage all behavioral health providers to join our new network, which will go live January 1, 2023. We will continue to work with Magellan Healthcare, Inc., through this transition to ensure continuity of care for our members.
See our medical and pharmacy policies — plus clinical practice guidelines and details about preapproval for services.
Access the PEAR portal and other systems, download forms, and find a wealth of other useful info for providers.
Access Electronic Data Interchange (EDI) resources, find claims submission guides, register with Independence, and more.
Find info about our standards of care — plus details about a wide array of preventive care and other patient programs.
Get qualified as an in-network provider and see how we help you through innovation and referrals.
Find important forms, phone numbers, email addresses, mailing addresses, and more.
The Provider Engagement, Analytics & Reporting (PEAR) portal is a single point of entry for participating providers to easily access tools to help manage the clinical and financial information specific to their provider organization and to obtain plan information to care for their patients. Registration is required.